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PROGRESSION LLC NPI 1265759815


NPI Information

NPI: 1265759815
Provider Name: PROGRESSION LLC

Doing Business As: VILLAGE APOTHECARY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 33D2232448

Address:
79 TINKER ST
WOODSTOCK, NY
ZIP 12498
Phone: (845) 679-0790
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PROGRESSION LLC is a community/retail pharmacy pharmacy in Woodstock, NY. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. PROGRESSION LLC NPI is 1265759815. The provider is registered as an organization entity type.
The provider Is Doing Business As Village Apothecary.

The provider's business location address is:

79 TINKER ST
WOODSTOCK, NY
ZIP 12498-238
Phone: (845) 679-0790
Fax: (845) 679-0795

The provider's authorized official is Neal Robert Smoller .
The authorized official title is Owner and has the following contact phone number (845) 679-0790.

The CLIA number assigned to this NPI record is 33D2232448 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/22/2010 and was last updated on 11/4/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy030053NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17204160001MEDICARE NSCNEW YORK
2030053OTHERNEW YORKNYS PHARMACY LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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